How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $104.71 Typical High $112.20 | Professional | None (both parts) | $91.20 | $104.71 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $165.96 Typical High $199.53 | Facility | None | $104.71 | $165.96 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $75.86 Typical High $169.82 | Professional | None (both parts) | $42.66 | $75.86 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $16.22 Typical High $38.02 | Professional | 26 · Professional part | $12.88 | $16.22 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $60.26 Typical High $131.83 | Professional | TC · Technical part | $29.51 | $60.26 | $131.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $81.28 Median $162.18 Typical High $257.04 | Professional | None | $81.28 | $162.18 | $257.04 |
Moda Health Setting Facility Modifier None Typical Low $104.71 Median $190.55 Typical High $204.17 | Facility | None | $104.71 | $190.55 | $204.17 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $123.03 Typical High $186.21 | Professional | None (both parts) | $91.20 | $123.03 | $186.21 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $28.18 Typical High $45.71 | Professional | 26 · Professional part | $21.38 | $28.18 | $45.71 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $81.28 Typical High $144.54 | Professional | TC · Technical part | $69.18 | $81.28 | $144.54 |
Pacific Source Setting Facility Modifier None Typical Low $31.62 Median $109.65 Typical High $169.82 | Facility | None | $31.62 | $109.65 | $169.82 |
Providence Setting Facility Modifier None Typical Low $102.33 Median $194.98 Typical High $323.59 | Facility | None | $102.33 | $194.98 | $323.59 |
Providence Setting Professional Modifier None (both parts) Typical Low $75.86 Median $169.82 Typical High $263.03 | Professional | None (both parts) | $75.86 | $169.82 | $263.03 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $28.18 Typical High $57.54 | Professional | 26 · Professional part | $16.22 | $28.18 | $57.54 |
Providence Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $85.11 Typical High $204.17 | Professional | TC · Technical part | $32.36 | $85.11 | $204.17 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $158.49 Median $173.78 Typical High $263.03 | Professional | None (both parts) | $158.49 | $173.78 | $263.03 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.02 Typical High $58.88 | Professional | 26 · Professional part | $35.48 | $38.02 | $58.88 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $134.90 Typical High $204.17 | Professional | TC · Technical part | $123.03 | $134.90 | $204.17 |
United Setting Professional Modifier None (both parts) Typical Low $50.12 Median $147.91 Typical High $295.12 | Professional | None (both parts) | $50.12 | $147.91 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $34.67 Typical High $66.07 | Professional | 26 · Professional part | $11.75 | $34.67 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $112.20 Typical High $229.09 | Professional | TC · Technical part | $38.90 | $112.20 | $229.09 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $42.66 Median $60.26 Typical High $75.86 | Facility | 53 · Discontinued | $42.66 | $60.26 | $75.86 |
Where Oregon sits
The same service costs 4.0 times more in Alaska than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Oregon· 13th of 51
$123
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.